Individual provider Active NPI

Kerina A Maharaja, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1760155246
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
046983-01 Issued in NY
Practice address
138 5TH Ave FL 2TH
New York, NY 10011-4300
Phone
(212) 287-4257
NPI assigned
Jul 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 046983-01 NY Primary

Addresses

Primary practice location

138 5TH Ave FL 2TH
New York, NY 10011-4300

Mailing address

14 W 14TH St Apt 6a
New York, NY 10011-7527
Phone (412) 523-2970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MI, TX, CA, PA, MA, FL7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20210902001595 NY Practitioner - Physical Therapist in Private Practice 0941606776 Reassigns benefits to 4 organizations
I20230322000415 MI Practitioner - Physical Therapist in Private Practice 0941606776 Reassigns benefits to 1 organization
I20230403000429 TX Practitioner - Physical Therapist in Private Practice 0941606776 Reassigns benefits to 1 organization
I20230713002099 CA Practitioner - Physical Therapist in Private Practice 0941606776 Reassigns benefits to 1 organization
I20250110001030 PA Practitioner - Physical Therapist in Private Practice 0941606776 Reassigns benefits to 1 organization
I20250128003167 MA Practitioner - Physical Therapist in Private Practice 0941606776 Reassigns benefits to 1 organization
I20251107000122 FL Practitioner - Physical Therapist in Private Practice 0941606776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Xrhealth USA IncGroup PAC ID 2264867704, 31 clinicians

Practice addresses (Care Compare)

Needham, MA 02494
Phone (857) 990-6111

Clarence Center, NY 14032
Phone (857) 990-6111

Wexford, PA 15090
Phone (857) 990-6111

Destin, FL 32541
Phone (857) 990-6111

Grass Lake, MI 49240
Phone (857) 990-6111

La Vernia, TX 78121
Phone (857) 990-6111

San Jose, CA 95134
Phone 85799061112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046983-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Feb 12, 2022 Accepting new patients
Merion Square Road Medical PC Physical Therapist CurrentSince Oct 21, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Feb 12, 2022 Accepting new patients
Kevin H Weiner, MD, PC Past Accepting new patients
Xrhealth USA Inc PastSince Jul 16, 2023 Accepting new patients

Locations

138 5th Ave
Fl 2
New York, NY 10011
Phone (212) 287-4257

5 E 98th St
Fl 6
New York, NY 10029
Phone (212) 241-2221

963 Post Ave
Staten Island, NY 10302
Phone (718) 442-4422

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1760155246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 W 14TH ST APT 6A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117527",
            "telephone_number": "412-523-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 5TH AVE FL 2TH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114300",
            "telephone_number": "212-287-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHARAJA",
        "first_name": "KERINA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046983-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.